This list is NOT for VACCINATION APPOINTMENTS!

This list is ONLY for Healthcare Providers/Practices NOT enrolled as a COVID-19 vaccine provider or affiliated with a hospital and requesting to receive COVID-19 vaccination at your local public health department. The list below is organized by public health districts and counties, and includes a form and/or contact information for healthcare provider registration.

Contact Phone Email Counties Served
DISTRICT 1-1 / ROME / Northwest Georgia Health District
Kim Cowart:

Counties served: Bartow, Catoosa, Chattooga, Dade, Floyd, Gordon, Haralson, Paulding, Polk, Walker

COVID-19 Vaccination Request Form for Providers

 

 

DISTRICT 1-2 / DALTON / North Georgia Health District
Vaccination Hotline:

Counties served: Cherokee, Fannin, Gilmer, Murray, Pickens, Whitfield

COVID-19 Vaccination Request Form for Providers

DISTRICT 10 / ATHENS / Northeast Health District
Primary:

Counties served: Barrow, Clarke, Elbert, Greene, Jackson, Madison, Morgan, Oconee, Oglethorpe, Walton

COVID-19 Vaccination Request Form for Providers

DISTRICT 2 / GAINESVILLE / North Health District
Primary:
(770) 531-5600, ext. 5000

Counties served: Banks, Dawson, Forsyth, Franklin, Habersham, Hall, Hart, Lumpkin, Rabun, Stephens, Towns, Union, White

COVID-19 Vaccination Request Form for Providers

DISTRICT 3-1 / MARIETTA / Cobb/Douglas Health District

Counties served: Cobb, Douglas

Cobb: www.cdphcovidvaccineappointments.org

Douglas: www.douglascovidvax.org

COVID-19 Vaccination Request Form - Employee Enrollment

COVID-19 Vaccination Request Form - Facility Enrollment

DISTRICT 3-2 /ATLANTA / Fulton County Board of Health
Primary:

Counties served: Fulton

COVID-19 Vaccination Request Form for Providers

DISTRICT 3-3 / JONESBORO / Clayton County Health District
Carla Cooper:

Counties served: Clayton

COVID-19 Vaccination Request Form for Providers

DISTRICT 3-4 / LAWRENCEVILLE / East Metro Health District

Counties served: Gwinnett, Newton, Rockdale

COVID-19 Vaccination Request Form for Providers

DISTRICT 3-5 / DECATUR / DeKalb Health District

Counties served: DeKalb

COVID-19 Vaccination Request Form for Providers

DISTRICT 4 / LAGRANGE / District 4 Health District
Tito Terry:
[email protected]

Counties served: Butts, Carroll, Coweta, Fayette, Heard, Henry, Lamar, Meriwether, Pike, Spalding, Troup, Upson

COVID-19 Vaccination Request Form for Providers

DISTRICT 5-1 / DUBLIN / South Central Health District
Stacy Upshaw:
Kelly Knight:

Counties served: Bleckley, Dodge, Johnson, Laurens, Montgomery, Pulaski, Telfair, Treutlen, Wheeler, Wilcox

COVID-19 Vaccination Request Form for Providers

DISTRICT 5-2 / MACON / North Central Health District
Litty Varghese:
[email protected]

Counties served: Baldwin, Bibb, Crawford, Hancock, Houston, Jasper, Jones, Monroe, Peach, Putnam, Twiggs, Washington, Wilkinson

COVID-19 Vaccine

DISTRICT 6 / AUGUSTA / East Central Health District
Primary:

Counties served: Burke, Columbia, Emanuel, Glascock, Jefferson, Jenkins, Lincoln, McDuffie, Richmond, Screven, Taliaferro, Warren, Wilkes

COVID-19 Vaccination Request Form for Providers

DISTRICT 7 / COLUMBUS / West Central Health District
Primary:
(706) 653-6613, ext. Option #1

Counties served: Chattahoochee, Clay, Crisp, Dooly, Harris, Macon, Muscogee, Marion, Quitman, Randolph, Schley, Stewart, Sumter, Talbot, Taylor, Webster

COVID-19 Vaccination Request Form for Providers

DISTRICT 8-1 / VALDOSTA / South Health District

Counties served: Ben Hill, Berrien, Brooks, Cook, Echols, Irwin, Lanier, Lowndes, Tift, Turner

COVID-19 Vaccination Request Form for Providers

DISTRICT 8-2 / ALBANY / Southwest Health District
Primary:

Counties served: Baker, Calhoun, Colquitt, Dougherty, Decatur, Early, Grady, Lee, Miller, Mitchell, Seminole, Terrell, Thomas, Worth

COVID-19 Vaccination Request Form for Providers

DISTRICT 9-1 / SAVANNAH/ BRUNSWICK / Coastal Health District
Cheryl Douse:

Counties served: Bryan, Camden, Chatham, Effingham, Glynn, Liberty, Long, McIntosh

COVID-19 Vaccination Request Form for Providers

DISTRICT 9-2 / WAYCROSS / Southeast Health District
Primary:

Counties served: Appling, Atkinson, Bacon, Brantley, Bulloch, Candler, Charlton, Clinch, Coffee, Evans, Jeff Davis, Pierce, Tattnall, Toombs, Ware, Wayne

COVID-19 Vaccination Request Form for Providers